|Titre :||Cocaine-related health emergencies in Europe: a review of sources of information, trends and implications for service development (2013)|
|Auteurs :||G. MENA ; I. GIRAUDON ; E. ALVAREZ ; J. M. CORKERY ; J. MATIAS ; K. GRASAASEN ; N. LLORENS ; P. GRIFFITHS ; J. VICENTE|
|Type de document :||Article : Périodique|
|Dans :||European Addiction Research (Vol.19, n°2, February 2013)|
|Article en page(s) :||74-81|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASECOCAINE ; URGENCE ; COMPARAISON ; HOPITAL ; EVOLUTION ; PREVALENCE
Background: Cocaine-related health consequences are difficult to observe. Data on drug users in health-emergency settings may be a useful source of information on consequences that are not visible via other information sources.
Methods: Thirty European countries submit an annual national report on the drug situation to the EMCDDA. All reports for the period 2007-2010 were analyzed, with particular attention given to auditing cocaine-related mentions. Analysis was also performed in order to identify sources and case definitions, assess coverage, audit cases and, where possible, to identify long-term trends.
Results: Considerable heterogeneity existed between countries in their approach to recording drug-related emergencies, with only Spain and the Netherlands having established formal indicators. The highest annual numbers of cocaine-related episodes were reported by the UK (3,502), Spain (2,845) and the Netherlands (1,211). A considerable (2- to 3-fold) increase in the numbers of cocaine-related episodes has been reported since the end of the 1990s in these countries; these increases peaked in Spain and England around 2007/08.
Conclusions: The analysis reported here suggests the need to develop more standardized approaches to monitoring drug-related emergencies. It points to the potential value of developing effective referral links between the emergency and specialized drug services working with cocaine users.
|Domaine :||Drogues illicites / Illicit drugs|
|Refs biblio. :||20|
|Affiliation :||European Monitoring Centre for Drugs and Drug Addiction, Lisbon, Portugal|
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